Preparing for Ileostomy Surgery

If you are suffering from a condition that necessitates the removal of your colon and rectum, you may need to have ileostomy surgery. Having this procedure can improve your symptoms and reduce the risk of complications from your condition. However, living with an ileostomy requires some adjustment. As you prepare for ileostomy surgery, follow the tips below.

1. Choose the right type of procedure.

When preparing for the removal of your colon and rectum, you can choose from several different solutions, including:

• Conventional Ileostomy – The small intestine is attached to a stoma in the abdominal wall. Waste flows continuously into an external bag, which must be emptied at regular intervals.
• J-Pouch – The intestines are used to create a reservoir, which is then connected to the anal canal. The patient controls elimination, but must empty the reservoir 4 to 7 times daily.
• Barnett Continent Intestinal Reservoir (revised Kock Pouch) – The intestine is used to create an internal reservoir, as well as a self-sealing valve in the abdominal wall. The reservoir is emptied when the patient inserts a catheter into the valve.

2. Understand the procedure.

Regardless of the procedure you choose, you should learn all you can about what the surgery will entail. This will help to relieve any anxiety you may have, as you will know what to expect on the day of surgery and in recovery.

3. Contact your insurance company.

Many insurance companies require preauthorization for surgical procedures. Make sure your insurance company has approved charges for the procedure before you check into the hospital to avoid any financial complications that may arise later.  Dr. Schiller’s office always obtains pre-authorization for the BCIR surgery or any related procedures.

4. Follow all preoperative instructions.

Before your surgery, your doctor may instruct you to complete certain tests, change your diet or perform other tasks related to the procedure. Follow all of these instructions carefully and contact the doctor if you have any questions.

5. Seek support.

Most patients are able to adjust to life with an ileostomy, J-pouch or BCIR. However, transitioning into your life after surgery may be challenging. Seek support from family and friends before and after the procedure. Talk to your doctor or nurses about any concerns you may have throughout the process. For additional support, look for ways to connect with other ileostomy patients, such as through online support groups.

If you are in need of ileostomy surgery, the Center for Ileostomy Surgery at Olympia Medical Center can help. Contact us today to learn more.